Traumatic Brain Injury
Conditions
Brief summary
the study is designed to perform an intervention for enhancement of cerebral blood flow in patients with traumatic brain injury showing vasospasm through transcranial doppler
Interventions
under aseptic conditions, using the ultrasound guidance, bilateral stellate ganglion block will be done using bupivacaine and betamethasone mixture, 8 ml volume will be given for each side
Sponsors
Study design
Eligibility
Inclusion criteria
* patients more than 18 ys old with isolated head trauma and traumatic brain injury
Exclusion criteria
* • Hemodynamic instability (mean ABP less than 70 mmHg) * History of severe systemic disease including cardiopulmonary failure or hepatorenal failure * Allergy to local anesthetics * Coagulation disorders * Abnormal neck structures disturbing normal anatomy as neck tumors
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| enhancement of cerebral blood flow | one week | increased blood flow through middle cerebral artery and basilar artery measured by transcranial doppler ultraound |